Music therapy for schizophrenia or schizophrenia-like illnesses
Gold C, Heldal TO, Dahle T, Wigram T
The Cochrane database of systematic reviews · 35 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2005-04-20 · Cochrane Database Syst Rev · número 2 · pág. CD004025
- Editorial
- Elsevier BV
- Citado
- 149 citas
- Referencias
- 59 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Art Therapy and Mental Health · Schizophrenia research and treatment
- Palabras clave
- music therapy, schizophrenia, severe mental illness, psychosocial interventions, negative symptoms, social functioning, treatment dosage, placebo comparison, PANSS, Brief Psychiatric Rating Scale, SANS, medication adherence, relapse prevention, relapse prevention training
- MeSH
- humans, music therapy, schizophrenia, randomized controlled trials as topic
4 autores
- Christian Gold🇳🇴Høgskulen i Sogn og Fjordane; University of Bergen
- Tor Olav Heldal
- Trond Dahle
- Tony Wigram🇩🇰Aalborg University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Music therapy is a psychotherapeutic method that uses musical interaction as a means of communication and expression. The aim of the therapy is to help people with serious mental illness to develop relationships and to address issues they may not be able to using words alone.
Objectives
To review the effects of music therapy, or music therapy added to standard care, compared to placebo, standard care or no treatment for people with serious mental illnesses such as schizophrenia.
Search strategy
The Cochrane Schizophrenia Group's Register (July 2002) was searched. This was supplemented by hand searching of music therapy journals, manual searches of reference lists, and contacting relevant authors.
Selection criteria
All randomised controlled trials that compared music therapy with standard care or other psychosocial interventions for schizophrenia.
Data collection and analysis
Studies were reliably selected, quality assessed and data extracted. Data were excluded where more than 30% of participants in any group were lost to follow up. Non-skewed continuous endpoint data from valid scales were synthesised using a standardised mean difference (SMD). If statistical heterogeneity was found, treatment 'dosage' and treatment approach were examined as possible sources of heterogeneity.
Main results
Four studies were included. These examined the effects of music therapy over the short to medium term (1 to 3 months), with treatment 'dosage' varying from 7 to 78 sessions. Music therapy added to standard care was superior to standard care alone for global state (medium term, 1 RCT, n = 72, RR 0.10 CI 0.03 to 0.31, NNT 2 CI 1.2 to 2.2). Continuous data suggested some positive effects on general mental state (1 RCT, n=69, SMD average endpoint PANSS -0.36 CI -0.85 to 0.12; 1 RCT, n=70, SMD average endpoint BPRS -1.25 CI -1.77 to -0.73),on negative symptoms (3 RCTs, n=180, SMD average endpoint SANS -0.86 CI -1.17 to -0.55) and social functioning (1 RCT, n=70, SMD average endpoint SDSI score -0.78 CI -1.27 to -0.28). However these latter effects were inconsistent across studies and depended on the number of music therapy sessions. All results were for the 1-3 month follow up.
Authors' conclusions
Music therapy as an addition to standard care helps people with schizophrenia to improve their global state and may also improve mental state and functioning if a sufficient number of music therapy sessions are provided. Further research should address the dose-effect relationship and the long-term effects of music therapy.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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